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KMID : 0356920100580050490
Korean Journal of Anesthesiology
2010 Volume.58 No. 5 p.490 ~ p.494
Pneumothorax during laparoscopic totally extraperitoneal inguinal hernia repair
Kim Hye-Young

Kim Tae-Yop
Lee Kyu-Chang
Lee Myeong-Jong
Kim Seong-Hyop
Bahn Jong-Min
Choi Eun-Kyung
Kim Ji-Yeon
Abstract
We experienced an extremely rare complication during performance of laparoscopic totally extraperitoneal (TEP) inguinal hernia repair for a 57-year-old healthy man. About 50 minutes after CO2 insufflation, the patient developed tachycardia, hypoxemia, hypercapnia and an increased airway pressure. Right pneumothorax with subcutaneous emphysema was recognized on the emergency chest X-ray and this was successfully treated by chest tube insertion. Anesthesiologists should be aware of the possible occurrence of pneumothorax during laparoscopic TEP hernia repair.
KEYWORD
Hernia repair, Laparoscopy, Pneumothorax, Subcutaneous emphysema
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